Re: High closure, no closure
From: R. Daniel Braun (rd.braun@gmail.com)
Wed Apr 13 21:43:49 2005
If there is any bulging between the U-S ligs, I tend to close that
posterior area from one U-S to the other. THen I tie the U-S ligs
together in the midline.
On 4/12/05, Henry Gregor <henrygregor@yahoo.com> wrote:
> I have been tempted to close without peritoneal closure. Having been a
> member of the high closure to reduce enterocele church, though, I've always
> spent that extra time on clousure. I assume you wouldn't be skipping
> peritoneal closure for twenty years, if subsequent enterocele were a
> problem. Other than usual ligament-vaginal angle support efforts, anything
> else that you do? (Speaking here of VH alone, withour anterior/posterior
> reconstruction or vault suspension.)
>
> Thanks,
> Hank
> Efrain Ramirez <eramirezt@coqui.net> wrote:
> Same here..
>
> Ef
>
> >At Sun, 10 Apr 2005, R. Daniel Braun wrote:
> >
> >I have had 2 prolapsed tubes after VH. They were both long ago during
> >the time that I did colose the peritoneum. I have had none since I
> >quit closing it about 20 years ago.
> >Dan
> >
> >On Apr 10, 2005 2:30 PM, Joanne Bulley, MD wrote:
> >> Sorry -- I had my 50yo colo (all clear) and didn't answer all posts!
> >>
> >> It is tender - but I have had most folks with the granulation tissue be
> >> tender.
> >>
> >> With vag hysts I have always closed the peritoneum as high as possible
> >> .. and the tube is on the other side of that .. so I don't think
> >> (hope) that it is not the tube. I know many don't - but I do - going as
> >> high as possible on the posterior side to (hop! efully) decrease
> >> enterocele formation. But next step for me would be to go to the OR and
> >> take it off that way if this cryo does not get rid of it. Then I will
> >> find out if it was tube or not.
> >>
> >> Keep ya posted.
> >>
> >> Joanne
> >>
> >> At Sun, 10 Apr 2005, R. Daniel Braun wrote:
> >> >
> >> >You didn't tell us, Is it tender or not?
> >> >Dan
> >> >
> >>
> >> --
> >> Joanne Bulley, MD
> >> Keene, NH, USA
> >>
> >--
> >R. Daniel Braun
> > Kinky for Governor
> >
>
> --
> I think I will do nothing for a long time but listen,
> And accrue what I hear into myself...and let sounds
> contribute toward me.
>
> ~walt whitman~
>
> Yahoo! Small Business - Try our new resources site!
>
--
R. Daniel Braun
Kinky for Governor
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